| NPI | 1598425027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA E RIRIE Owner 208-421-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-24 |
| Last Update Date | 2023-05-12 |